Revised Tokuhashi Scoring System
Predicts survival in patients with spinal tumors.
INSTRUCTIONS
Use this score to predict survival in patients with metastatic spinal disease.
When to Use
Good (KPS 80%-100%)
+2Moderate (KPS 50%-70%)
+1Poor (KPS 10%-40%)
00
+21-2
+1≥3
01
+22
+1≥3
0No metastases
+2Removable
+1Unremovable
0Thyroid, prostate, breast, carcinoid tumor
+5Rectum
+4Kidney, uterus
+3Others
+2Liver, gallbladder, unidentified
+1Lung, osteosarcoma, stomach, bladder, esophagus, pancreas
0None (Frankel E)
+2Incomplete (Frankel C, D)
+1Complete (Frankel A, B)
0Result:
Please fill out required fields.